Provider Demographics
NPI:1922230895
Name:MAHAR, MELISSA A (ND - NATUROPATH)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:A
Last Name:MAHAR
Suffix:
Gender:F
Credentials:ND - NATUROPATH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69229 HORSE SHOE
Mailing Address - Street 2:
Mailing Address - City:SISTERS
Mailing Address - State:OR
Mailing Address - Zip Code:97759-9539
Mailing Address - Country:US
Mailing Address - Phone:541-306-0921
Mailing Address - Fax:
Practice Address - Street 1:69229 HORSE SHOE
Practice Address - Street 2:
Practice Address - City:SISTERS
Practice Address - State:OR
Practice Address - Zip Code:97759-9539
Practice Address - Country:US
Practice Address - Phone:541-306-0921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1274R175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath